DR. RYAN ROBERT PINE (M.D.) – Ophthalmology Physician, NPI 1255599452
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
960 OPHTHALMOLOGY in IL
Provider Addresses for DR. RYAN ROBERT PINE (M.D.)
PO BOX 372
MATTOON, IL 619380372
Phone:
Type: Mailing
200 DETTRO DR
MATTOON, IL 619389003
Phone: (217) 348-0221
Fax: (217) 345-1380
Type: Location
1605 Reynolds Dr
Charleston, IL 619203152
Phone: (217) 348-0221
Fax: (217) 345-1380
Type: Location
9743, Greystoke Court, Fishers, Hamilton County, Indiana, 46038, United States
FISHERS, IN 460389243
Phone: (217) 512-1001
Type: Mailing
Saint Vincent Indianapolis, 2001, West 86th Street, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462601902
Phone: (317) 338-2281
Fax: (317) 338-6359
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,274.
Total Amount is formed as General ($1,274) + Research ($0) + Ownership ($0) = $1,274.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($1,118).
Total Amount
$1,274
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $1,118 |
| ABBVIE INC. | $156 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121213000450 | I | Ophthalmology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 1,250 | 1,086 | $0 |
| 92014 | Established patient complete exam of visual system | 772 | 677 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 705 | 353 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 601 | 326 | $0 |
| 92004 | New patient complete exam of visual system | 341 | 341 | $0 |
Insurance plans in this area (ZIP 61938)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Family Practice | IN | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL |
Reviews
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